ХИРУРГИЧЕСКИЕ СТРАТЕГИИ ЛЕЧЕНИЯ ОСЛОЖНЁННЫХ ТРАВМ ГРУДОПОЯСНИЧНОГО ОТДЕЛА ПОЗВОНОЧНИКА: КЛИНИКО-АНАЛИТИЧЕСКОЕ ИССЛЕДОВАНИЕ.
Keywords:
thoracolumbar junction, spinal trauma, surgical treatment, decompression, transpedicular fixation, electrical stimulation.Abstract
This study aims to evaluate the effectiveness of various surgical strategies used in the management of complicated thoracolumbar spinal injuries accompanied by neural compression. A total of 176 patients were examined using clinical and advanced imaging methods. Three surgical approaches were compared: transpedicular fixation (TPF), decompressive laminectomy combined with TPF, and a comprehensive approach involving TPF, laminectomy, and postoperative electrical stimulation. The results demonstrated that the combined technique provided the most significant neurological improvement. These findings align with contemporary international and national research emphasizing the importance of early decompression and stable fixation in optimizing patient outcomes.
Downloads
References
1. Абдуллаев Р. Ю., Гринь А. А. Повреждения позвоночника и спинного мозга. – М.: ГЭОТАР-Медиа, 2021.
2. Алексеев А. В., Меркулов В. Н. Диагностика и лечение травм позвоночника. – СПб.: СпецЛит, 2020.
3. Белова А. Н. Нейрореабилитация. – М.: МЕДпресс-информ, 2019.
4. Гринь А. А., Лебедев В. В. Хирургическое лечение осложнённых повреждений позвоночника. Вопросы нейрохирургии, 2018;2.
5. Коновалов Н. А., Шабалов В. А. Хирургия позвоночника. – М.: ГЭОТАР-Медиа, 2017.
6. Vaccaro A. R., Oner F. C., Kepler C. K. et al. AOSpine thoracolumbar spine injury classification system. Spine, 2013;38(23):2028–2037.
7. Fehlings M. G., Vaccaro A., Wilson J. R., et al. Early vs. delayed decompression for traumatic spinal cord injury. PLoS ONE, 2017;12(1):e0170718.
8. Ahuja C. S., Wilson J. R., Nori S., et al. Traumatic spinal cord injury. Nature Reviews Disease Primers, 2017;3:17018.
9. Joaquim A. F., Patel A. A. Thoracolumbar spine trauma. J. Craniovertebral Junction Spine, 2016;7(1):3–9.
10. Harkema S. et al. Epidural stimulation in spinal cord injury. Lancet, 2011;377(9781):1938–1947.
11. Taccola G., Sayenko D., Gad P. Spinal cord neuromodulation. Brain Research, 2018;1697:1–18.
12. Aarabi B., Sansur C. A., et al. Surgical decompression for traumatic spinal cord injury. Neurosurgical Focus, 2012;33(1):E11.
13. Burns A. S., Marino R. J., Flanders A. E., et al. Management of acute spinal cord injury: current trends. Current Opinion in Neurology, 2012;25(6):676–683.
14. McCormack T., Karaikovic E., Gaines R. Load-sharing classification of spine fractures. Spine, 1994;19(15):1741–1744.
15. Court-Brown C. M., Caesar B. Epidemiology of adult fractures. Injury, 2006;37(8):691–697.



















